FULL CIRCLE PT (NPI# 1174132302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174132302 |
| Entity Type | Organization |
| Organization Name | FULL CIRCLE PT |
| Practice Address |
904 E Capitol St Ne Bsmt Washington DC 20003-3904 |
| Practice Telephone | 9178048707 |
| Mailing Telephone | 9178048707 |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-23 |
| Authorized Official Name | MS. KENDALL BLACK (PRINCIPLE PHYSICAL THERAPIST) |
| Authorized Official Telephone | 9178048707 |
| Authorized Official Credential | MPT, CSCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
904 E CAPITOL ST NE BSMT |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20003-3904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720686694 | Joy Mpode Nkede | Home Health Aide | 2012 12th Street Se, G35, Washington, DC 20003 | 2020-10-13 |
| 1548872617 | Marie Lubin | Licensed Practical Nurse | 100 New Jersery Ave Se, Suite 845, Washington, DC 20003 | 2020-08-20 |
| 1770115081 | District of Columbia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15 I Street Se, Washington, DC 20003 | 2020-02-05 |
| 1538706676 | Eric Schwartz | Specialist/Technologist | 2400 E Capitol St Se, Washington, DC 20003 | 2019-12-09 |
| 1669945879 | Taiwo O Adeyemo | Nurse Practitioner | Unity Health Care, Inc Department of Corrections, 1901 D Street Se, Washington, DC 20003 | 2019-01-10 |
| 1881164424 | Heather Yvonne Daniels | Social Worker | 650 I Street Ne, Washington, DC 20003 | 2018-11-27 |
| 1467946566 | Fanta Boakai Sheriff | Home Health Aide | 1202 12th Street Se, Washington, DC 20003 | 2018-06-21 |
| 1881117513 | Rose Physcial Therapy Group | Physical Therapist | 1015 Half Street #102, Washington, DC 20003 | 2017-07-25 |
| 1821510280 | Tiara Doniece Jackson | Technician | 601 L St Se, Apt 1001, Washington, DC 20003 | 2017-07-07 |
| 1083134985 | Sophia Olivia Hooper | Home Health Aide | 1612 A St Se, Washington, DC 20003 | 2017-06-21 |
| Find all providers in zip 20003 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871121061 | Joe Norton Physical Therapy Pllc | Clinic/Center | 3222 N St Nw Ste 300, Washington, DC 20007-2895 | 2020-04-01 |
| 1649817990 | Phyt Collective, LLC | Clinic/Center | 818 Connecticut Ave Nw Ste 500, Washington, DC 20006-2713 | 2019-12-05 |
| 1962963280 | Manual Medicine Spine and Sports Physical Therapy | Clinic/Center | 1015 15th St Nw, Ste 614k, Washington, DC 20005 | 2019-03-28 |
| 1588136733 | University Physical Therapy Associates | Clinic/Center | 1160 Varnum St Ne Ste 217, Washington, DC 20017-2106 | 2018-12-28 |
| 1275014938 | District Performance & Physio | Clinic/Center | 1722 Eye St Nw Bsmt Level, Washington, DC 20006-3710 | 2018-08-22 |
| 1538578950 | Progressive Physical Therapy Center LLC | Clinic/Center | 901 6th St Sw Lbby Level, Fitness Level, Washington, DC 20024-3850 | 2014-08-11 |
| 1245593326 | Vital Physical Therapy LLC | Clinic/Center | 2401 M St Nw, Washington, DC 20037-1408 | 2012-06-22 |
| 1912275595 | Rose Physcial Therapy Group | Clinic/Center | 1101 Connecticut Ave Nw, Washington, DC 20036-4303 | 2011-12-09 |
| 1851687214 | Therapeutic Sessions Corporation | Clinic/Center | 3905 Dix St Ne, Washington, DC 20019-1401 | 2011-06-23 |
| 1679874572 | Back To Life Pt | Clinic/Center | 315 V St Ne, Washington, DC 20002-1411 | 2010-11-08 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20003 |
Please comment or provide details below to improve the information on FULL CIRCLE PT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.